快速康复训练联合空气压力波对乳腺癌术后患者上肢功能的影响  

Effect of rapid rehabilitation training combined with air pressure waves on upper limb function in patients after breast cancer surgery

作　　者：吴冰[1] 吴青[1] 李瑞华 何文华[1] WU Bing;WU Qing;LI Ruihua;HE Wenhua(Department of Breast Surgery,the First Affiliated Hospital of He’nan University of CM,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南中医药大学第一附属医院乳腺外科,郑州4500000

出　　处：《癌症进展》2022年第10期1031-1034,共4页Oncology Progress

摘　　要：目的探讨快速康复训练联合空气压力波对乳腺癌术后患者上肢功能的影响。方法采用随机数字表法将接受乳腺癌根治术的120例乳腺癌患者分为对照组和观察组,每组60例。对照组患者术后给予快速康复训练干预,观察组患者术后给予快速康复训练联合空气压力波干预。比较两组患者的术后指标、患肢肩关节活动度、肩关节功能及并发症发生情况。结果观察组患者麻醉清醒时间、术后首次下床活动时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。术后30天,两组患者患肢肩关节前屈、后伸、外展及内收活动度均低于本组术前,但观察组患者患肢肩关节前屈、后伸、外展及内收活动度均高于对照组,差异均有统计学意义(P﹤0.05)。术后30天,两组患者Constant-Murley肩关节功能量表各维度评分均高于本组术前,且观察组患者Constant-Murley肩关节功能量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者上肢水肿和尿潴留的发生率均低于对照组,差异均有统计学意义(P﹤0.05)。结论快速康复训练联合空气压力波能够促进乳腺癌根治术患者康复,改善上肢功能,降低上肢水肿和尿潴留的发生率。Objective To investigate the effect of rapid rehabilitation training combined with air pressure waves on upper limb function in patients after breast cancer surgery.Method A total of 120 breast cancer patients who received radical mastectomy were divided into control group and observation group by the random number table method with 60 cases in each group.Patients in the control group were given rapid rehabilitation training intervention after the operation,while patients in the observation group were given rapid rehabilitation training combined with air pressure waves after the operation.The postoperative indexes,range of motion of the affected shoulder joint,shoulder joint function,and complications were compared between the two groups.Result The time of awakening from anesthesia,the time of first getting out of bed after the operation,and the length of hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).At 30 days after the operation,the activities of shoulder joint flexion,extension,abduction and adduction of the affected limb in the two groups were lower than those before the operation,the activities of shoulder joint flexion,extension,abduction and adduction of the affected limb in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 30 days after the operation,the scores of each dimension of the Constant-Murley shoulder function scale in the two groups were higher than those before the operation,and the scores of each dimension of the Constant-Murley shoulder function scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidences of upper limb edema and urinary retention in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Rapid rehabilitation training combined with

关 键 词：快速康复训练 空气压力波 乳腺癌 上肢功能 并发症 

分 类 号：R737.9[医药卫生—肿瘤]